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New York rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.19 / $5,845.00 / $26,366.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,818.00 / $11,549.00 / $48,679.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.91 / $9,430.50 / $28,291.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.70 / $27,393.00 / $36,587.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,769.00 / $30,278.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.69 / $1,015.69 / $1,015.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,771.54 / $7,655.50 / $12,511.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.70 / $13,411.00 / $36,587.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $10,009.00 / $40,496.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.56 / $1,300.56 / $3,123.90